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Effects of pre- and post-operative resistance exercise interventions on recovery of physical function in patients undergoing abdominal surgery for cancer: A systematic review of randomised controlled trials

Effects of pre- and post-operative resistance exercise interventions on recovery of physical function in patients undergoing abdominal surgery for cancer: A systematic review of randomised controlled trials

Stephensen, D., Hashem, F., Corbett, K., Bates, A., George, M., Hobbs, N., Hopkins, M., Hutchins, I., Lowery, D., Pellatt-Higgins, T., Stavropoulou, C., Swaine, I. L., Tomlinson, L., Woodward, H. and Ali, H. (2018) Effects of pre- and post-operative resistance exercise interventions on recovery of physical function in patients undergoing abdominal surgery for cancer: A systematic review of randomised controlled trials. BMJ Open Sport and Exercise Medicine, 4 (1):e000331. ISSN 2055-7647 (Online) (In Press) (doi:10.1136/bmjsem-2017-000331)

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Abstract

Objective:
To systematically review the effects of pre- and post-operative resistance exercise training on the recovery of physical function in patients undergoing abdominal surgery for cancer.

Data sources:
A systematic review of English articles using Medline, PEDro, Cinahl and The Cochrane Library electronic databases was undertaken.

Eligibility criteria for selecting studies:
Studies were included if they used a randomised, quasi-randomised, or controlled trial study design and compared the effects of a muscle-strengthening exercise intervention (+/- other therapy) with a comparative non-exercise group; involved adult participants (≥18 years) who had elected to undergo abdominal surgery for cancer; and used muscle strength, physical function, self-reported functional ability, range of motion and/or a performance-based test as an outcome measure.

Results:
Following screening of titles and abstracts of the 588 publications retrieved from the initial search, 24 studies met the inclusion criteria and were accessed for review of the full-text version of the article and 2 eligible met the inclusion criteria and were included in the review. One exercise programme was undertaken pre-operatively and the other post-operatively, until discharge from hospital. There were no differences between groups in either study.

Conclusion:
The only two studies designed to determine whether pre- or post-operative resistance muscle-strengthening exercise programmes improved or negatively affected physical function outcomes in patients undergoing abdominal surgery for cancer provide inconclusive results. The exercise interventions of the included studies were performed for 5 and 8 session respectively.

Item Type: Article
Uncontrolled Keywords: Exercise training, cancer, abdomen, surgery, physical fitness
Subjects: Q Science > QP Physiology
Faculty / Department / Research Group: Faculty of Engineering & Science
Faculty of Engineering & Science > Department of Life & Sports Sciences
Last Modified: 03 May 2018 10:05
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: None
URI: http://gala.gre.ac.uk/id/eprint/19323

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